Understanding care linkage and engagement across 15 adolescent clinics: Provider perspectives and implications for newly HIV-infected youth

The Adolescent Trials Network for HIV/AIDS Interventions

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

The National HIV/AIDS Strategy emphasizes rapid care linkage and engagement for HIV-infected individuals, though many adolescents are never tested, delay entering care, and frequently drop out. We conducted 183 staff interviews at 15 adolescent medicine clinics (baseline, n = 64; Year 1, n = 60; Year 2, = 59). We used a constant comparative thematic method to examine how providers approached and discussed care linkage/engagement. Qualitative analyses revealed differences in providers’ conceptualizations of linkage and engagement. Providers saw linkage as mechanistic and health system driven. It was defined by number of clinic visits and involved relatively little youth agency. In contrast, providers defined engagement by youths’ responsibility and participation in their own care. Linkage and engagement are related but distinct aspects of care that require different resources and levels of staff involvement. Integrating an understanding of these differences into future interventions will allow clinic staff to help youth improve long-term health outcomes.

Original languageEnglish (US)
Pages (from-to)93-104
Number of pages12
JournalAIDS Education and Prevention
Volume29
Issue number2
DOIs
StatePublished - 2017

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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